Kimberly Kelly (NPI# 1447479290, PAC ID# 5799837639) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1447479290 |
| PAC ID by PECOS | 5799837639 |
| Professional Enrollment ID | I20090723000411 |
| Full Name | Kimberly Kelly |
| Address |
3180 Racquet Club Dr G Traverse City MI 49684-4797 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3180 Racquet Club Dr G, Traverse City, MI 49684-4797 |
| Street Address |
3180 RACQUET CLUB DR G |
| City | TRAVERSE CITY |
| State | MI |
| Zip | 49684-4797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miriam Bauer | Clinical Social Worker | Bay Area Counseling, LLC | 3180 Racquet Club Dr G, Traverse City, MI 49684-4797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John F Ulrich | Psychologist, Clinical | 102 W Front St, Suite 402, Traverse City, MI 49684-1201 | |
| Melanie S Villanueva | Clinical Social Worker | 134 W State St, Suite 202, Traverse City, MI 49684-1491 | |
| Hillary R Toennies | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Paul Andrew Hanrahan | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Barbara Jones Smith | Clinical Psychologist | Barbara Jones Smith Phd PC | 821 S Elmwood C, Traverse City, MI 49684-2191 |
| Julie Slough Runstrom | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Christopher James Kowalski | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| David Cannon | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Karisa Ritter | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Elizabeth J Nichols | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Find all physicians in zip 49684 | |||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | TRAVERSE CITY + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Kimberly Kelly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.